Summit View Medical, L. L. C. | |
9829 S 1300 E Suite 302 Sandy UT 84094-4000 | |
(801) 576-8988 | |
(801) 576-9396 |
Full Name | Summit View Medical, L. L. C. |
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Speciality | Family Medicine |
Location | 9829 S 1300 E, Sandy, Utah |
Authorized Official Name and Position | Vernon D. Potter (MANAGING MEMBER) |
Authorized Official Contact | 8015768988 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Summit View Medical, L. L. C. 9829 S 1300 E Suite 101 Sandy UT 84094-4000 Ph: (801) 576-8988 | Summit View Medical, L. L. C. 9829 S 1300 E Suite 302 Sandy UT 84094-4000 Ph: (801) 576-8988 |
NPI Number | 1295876639 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 08/31/2012 |
Medicare PECOS PAC ID | 8729128764 |
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Medicare Enrollment ID | O20091222000606 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295876639 | NPI | - | NPPES |
394660823016 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2939081205 (Utah) | Primary |
Vernon K. Liu Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 E 9400 S, Suite 102, Sandy, UT 84094 Phone: 801-576-1118 Fax: 801-576-1221 | |
Utah Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way Ste B, Sandy, UT 84092 Phone: 801-619-9000 | |